National Provider Identifier [NPI]: |
1205827698 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
DEVENDER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
427 W 20TH ST |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770082433 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4612 |
Number Of Medicare Beneficiaries |
892 |
Total Submitted Charge Amount |
858114.85 |
Total Medicare Allowed Amount |
332795.1 |
Total Medicare Payment Amount |
254099.49 |
Total Medicare Standardized Payment Amount |
252433.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
2000 |
Total Drug Medicare AllowedAmount |
705 |
Total Drug Medicare PaymentAmount |
691 |
Total Drug Medicare Standardized Payment Amount |
691 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
4562 |
Number Of Medicare Beneficiaries With Medical Services |
892 |
Total Medical Submitted Charge Amount |
856114.85 |
Total Medical Medicare Allowed Amount |
332090.1 |
Total Medical Medicare Payment Amount |
253408.49 |
Total Medical Medicare Standardized Payment Amount |
251742.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
395 |
Number Of Non Hispanic White Beneficiaries |
300 |
Number Of Black or African American Beneficiaries |
353 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
217 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
479 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
413 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.1379 |